Research Article of Journal of Herbal Medicine Research

Trinapanchamoola Kwath in U.T.I During Pregnancy

Urinary tract infections are the most frequent bacterial infection in women, mainly by E.coli (80-90%)1 and Staphylococcus saprophyticus (5-10%)1,2. Women are more prone to UTI than men because, in female, the urethra is much shorter and closer to anus. The main cause of UTI during pregnancy are (i) higher levels of the hormone progesterone decrease the muscle tone of the ureters, (ii) uterus enlargement which ultimately compresses the ureters, (iii) bladder also loses tone during pregnancy. These changes takes longer time for passing urine through urinary tract, giving chance to bacterial infection and multiplication and becomes easier for the bacteria to causes upward infection. During pregnancy urine becomes less acidic and more likely to contain glucose, both of which boost the potential for bacterial growth. Pain and discomfort in groin, burning urination, frequent and uncontrolled urges and fever are the main symptoms of UTI. If not treated UTI may cause acute Pyelonephritis in third trimester, preterm labour3 and low birth weight.
Antibiotics are the drug of choice in UTI, which may cause teratogenic effect to foetus. So pregnant women should refrain such drugs especially in first trimester. In Ayurveda, Trinpanchamoola (roots of Desmostachya bipinnata, Saccharum spontaneum, Saccharum munja, Imperata cylindrica, Saccharum officinarum) decoction is described for treatment of urinary disorder and to subside their symptoms4. The chemical ingredients present in drugs are increase urinary flow, changes pH that are not suitable for growing harmful bacterial flora and reduces inflammation of passage. Trinpanchamoola kwath alleviate the symptoms of UTI.